Provider Demographics
NPI:1154813897
Name:CARELIVENOWCOM LLC
Entity Type:Organization
Organization Name:CARELIVENOWCOM LLC
Other - Org Name:CARE LIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMSUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-706-2091
Mailing Address - Street 1:4070 N BELT LINE RD STE 99
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5028
Mailing Address - Country:US
Mailing Address - Phone:817-706-2091
Mailing Address - Fax:
Practice Address - Street 1:4070 N BELT LINE RD STE 99
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5028
Practice Address - Country:US
Practice Address - Phone:817-706-2091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6441261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care